Nursing Process Ch 5

Front 1

Formal planning

Back 1

conscious & deliberate activity involving decision making, critical thinking, & creativity

Front 2

Informal planning

Back 2

- making mental notes or plans

occurs while you are performing other nursing process steps

Front 3

Initial planning

Back 3

begins with first patient contact

- written ASAP after initial assessment

Front 4

Ongoing planning

Back 4

refers to changes made in the plan...

- as you evaluate their response to care

- as you obtain new data & create new nursing diagnoses

Front 5

Discharge planning

Back 5

planning for self-care & continuity of care after pt leaves health-care setting

- begins with initial assessment

- ALL pts need discharge planning

- requires collaboration (done with pt, NOT FOR pt)

Front 6

Comprehensive Patient Care Plan

(aka Nursing Care Plan)

Back 6

central source of information needed to guide holistic, goal-oriented care to address each patient's unique needs

Front 7

____________ state the scientific principles or research that supports nursing interventions.

Back 7

Rationales

Front 8

__________ describe the changes in client health status that you hope to achieve.

Back 8

Goals

Front 9

Nursing-sensitive _______________: can be influenced by nursing interventions.

Back 9

outcomes

Front 10

These types of goals can be achieved within a few hours or days...

Back 10

Short-term goals

Front 11

These types of goals are expected changes that occur over a week, a month, or more...

Back 11

Long-term goals

Front 12

What are the 5 components of a Goal Statement?

(Sally

And

Pat Cry

Together Toward

Special Conditions)

Back 12

1. Subject

2. Action

3. Performance criteria

4. Target time

5. Special conditions

Front 13

__________ outcomes derive directly from the nursing diagnosis.

Back 13

Expected outcomes

Front 14

_____________ _______________ describes the response/health status to be changed.

Back 14

Problem statement

Front 15

_______________ outcome states the opposite of the problem response.

Back 15

Desired outcome

Front 16

_______-_________ goals derive from the etiology.

Back 16

Non-essential

Front 17

_____________ goals derive from the problem.

Back 17

Essential

Front 18

What are the 3 components of a NOC outcome?

Back 18

1. Outcome label

2. Indicators

3. Measurement scale

Front 19

What are the goals for wellness diagnoses?

(Describe behaviors/responses that...)

Back 19

-demonstrate health maintenance

OR

- achievement of an even higher level of health

Front 20

What are the (3) teaching objectives?

Back 20

1. what client learns

2. behaviors that demonstrates learning

3. is learning cognitive, psychomotor, or affective